Individual
DR. EDMOND K SAFARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 GRAND BLVD, SUITE B105/228, MIRAMAR BEACH, FL 32550-1838
(850) 797-1425
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2014015861
MO
207P00000X
Emergency Medicine Physician
25073
AL
207P00000X
Emergency Medicine Physician
47821
KY
207P00000X
Emergency Medicine Physician
MD0000037004
TN
207P00000X
Emergency Medicine Physician
Primary
MD61088220
WA
207P00000X
Emergency Medicine Physician
ME85762
FL
207Q00000X
Family Medicine Physician
33147
AZ
207Q00000X
Family Medicine Physician
MD61088220
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200036048
TRI CARE
AZ
05
—
5363245900
—
FL
05
—
991123
—
AZ
01
—
AZ0778160
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/15/2006
Last updated
06/26/2024
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